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dc.contributor.authorMarx, Wolfgang
dc.contributor.authorKelly, Jaimon T
dc.contributor.authorCrichton, Megan
dc.contributor.authorCraven, Dana
dc.contributor.authorCollins, Jorja
dc.contributor.authorMackay, Hannah
dc.contributor.authorIsenring, Elizabeth
dc.contributor.authorMarshall, Skye
dc.date.accessioned2019-12-02T23:55:33Z
dc.date.available2019-12-02T23:55:33Z
dc.date.issued2018
dc.identifier.issn0378-5122
dc.identifier.doi10.1016/j.maturitas.2018.02.012
dc.identifier.urihttp://hdl.handle.net/10072/389390
dc.description.abstractTelehealth offers a feasible method to provide nutrition support to malnourished older adults. This systematic review and meta-analysis aims to determine the efficacy of telehealth methods in delivering malnutrition-related interventions to community-dwelling older adults. Studies in any language were searched in five electronic databases from inception to 2nd November 2017. Quality of the evidence was assessed using the Cochrane Risk of Bias tool and the GRADE approach. Nine studies were identified, with results published across 13 included publications, which had mostly low to unclear risk of bias. There were two interventions delivered to disease-specific groups, one with kidney disease and one with cancer; the remaining seven interventions were delivered to patients with mixed morbidities following discharge from an inpatient facility. Seven studies delivered telehealth via telephone consultations and two used internet-enabled telemedicine devices. Ten meta-analyses were performed. Malnutrition-focused telehealth interventions were found to improve protein intake in older adults by 0.13 g/kg body weight per day ([95%CI: 0.01–0.25]; P = .03; n = 2 studies; n = 200 participants; I2 = 41%; GRADE level: low) and to improve quality of life (standardised mean difference: 0.55 [95%CI: 0.11–0.99]; P = .01; n = 4 studies with n = 9 quality-of-life tools; n = 248 participants; I2 = 84%: GRADE level: very low). There were also trends towards improved nutrition status, physical function, energy intake, hospital readmission rates and mortality in the intervention groups. Overall, this review found telehealth is an effective method to deliver malnutrition-related interventions to older adults living at home, and is likely to result in clinical improvements compared with usual care or no intervention. However, further research with larger samples and stronger study designs are required to strengthen the body of evidence.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeIreland
dc.relation.ispartofpagefrom31
dc.relation.ispartofpageto46
dc.relation.ispartofjournalMaturitas
dc.relation.ispartofvolume111
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1114
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsGeriatrics & Gerontology
dc.subject.keywordsObstetrics & Gynecology
dc.subject.keywordsProtein-energy malnutrition
dc.titleIs telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationMarx, W; Kelly, JT; Crichton, M; Craven, D; Collins, J; Mackay, H; Isenring, E; Marshall, S, Is telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis, Maturitas, 2018, 111, pp. 31-46
dcterms.dateAccepted2018-02-14
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2019-11-29T01:35:03Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2018 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorKelly, Jaimon


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